Fox Valley Family Physicians

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209011869 Issued in IL

Legal business name

FOX VALLEY FAMILY PHYSICIANS

Practice address

2425 Fargo Blvd
Geneva, IL 60134-3591

Phone

(630) 232-2200

Fax

(630) 232-1940

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter D Cladis, M.D.NPI 1467452755

Title

Owner

Phone

(630) 232-2200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter D Cladis, M.D.

  • Family Medicine Physician
  • Geneva, IL
  • NPI 1467452755
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1477957389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FARGO BLVD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343591",
            "telephone_number": "630-232-2200",
            "fax_number": "630-232-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 FARGO BLVD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343591",
            "telephone_number": "630-232-2200",
            "fax_number": "630-232-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "CLADIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-232-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Flatt
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• Fox Clinical Services
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• Fox Valley Endocrinology, LLC
• Fox Valley Family Physicians S.C.
• Fox Valley Foot and Ankle Specialist, LTD
• Fox Valley New You, Inc
• Fox Valley Orthopaedic Associates, PLLC (Fox Valley Orthopaedic Ambulatory Surgical Center)
• Fox Valley Orthopaedic Associates, PLLC

• Nurse Practitioner in Geneva, IL
• Providers in Geneva, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.